CrawlJobs Logo
L.A. Care Health Plan Logo L.A. Care Health Plan · Nursing

Supervisor, Utilization Management RN

United States, Los Angeles Employment contract 102183.00 - 163492.00 USD / Year · Job Posted June 15, 2026
Apply Position
Job Link Share

Job Description

The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care Management (CM) staff's responsibilities and activities. This includes, but not limited to, ensuring proper staffing and coverage; monitoring and evaluating departmental operations to ensure optimal efficiency, productivity, and effectiveness; documenting and appropriately addressing excellence or deviations in work, departmental, and organizational expectations; and conducting intermittent and annual performance evaluations. This role assists in triaging identified issues/problems and forming resolution within the scope of work/licensure. The Supervisor is a subject matter expert (SME) in Care/Case/Utilization Management and supporting regulations, policies, protocols, and procedures. This position serves as a formal and informal instructor, and escalates issues/concerns to the appropriate person when outside of their scope.

Job Responsibility

  • Executing the day-to-day operations of the UM department
  • monitoring the Care Management (CM) staff's responsibilities and activities
  • ensuring proper staffing and coverage
  • monitoring and evaluating departmental operations to ensure optimal efficiency, productivity, and effectiveness
  • documenting and appropriately addressing excellence or deviations in work, departmental, and organizational expectations
  • conducting intermittent and annual performance evaluations
  • assisting in triaging identified issues/problems and forming resolution within the scope of work/licensure
  • serving as a subject matter expert (SME) in Care/Case/Utilization Management and supporting regulations, policies, protocols, and procedures
  • serving as a formal and informal instructor
  • escalating issues/concerns to the appropriate person when outside of their scope
  • assisting with development and maintenance of a successful and cohesive unit
  • ensuring all functions of the UM department are operating in accordance with the organization's mission, values and strategic goals
  • supporting the UM Manager/Director
  • assisting UM Educator/Manager/Director in identification of training needs
  • collaborating in development of programs, training materials, competency checklist, and orientation checklists
  • supervising all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports

Requirements

  • Associate's Degree in Nursing
  • Minimum of 7 years of acute/clinical care experience
  • Minimum of 2 years of experience in Case/Care/Utilization Management in an acute care or health plan setting
  • Minimum of 3 years leading process, program, or staff or supervisory experience
  • Knowledge of state, federal and regulatory requirements in Care/Case/Utilization Management
  • Strong verbal and written communication skills
  • Computer literacy with proficiency with Microsoft Word, Excel, etc. and ability to learn core departmental computer systems and software
  • Excellent organizational, time management, and interpersonal skills
  • Must be detailed-oriented, energetic, and an enthusiastic team player
  • Must be able to work independently
  • Registered Nurse (RN) - Active, current and unrestricted California License

Nice to have

Bachelor's Degree in Nursing

What we offer

  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)
L.A. Care Health Plan - All Job Offers

Looking for more opportunities?

Search for other job offers that match your skills and interests.

Suggested Tags: Frontend Developer Secretary Talent Manager Salesforce Administrator Data Analyst
Similar Jobs for

Supervisor, Utilization Management RN

8 matching positions

Clinic RN Supervisor

The Supervisor – Clinic Nursing assists the Clinic Administrator/Practice Manage...
Location
Location
United States , Omaha
Salary
Salary:
32.30 - 48.05 USD / Hour
americannursingcare.com Logo
American Nursing Care
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Current Registered Nurse (RN) license that allows you to practice in our state
  • Graduate of an accredited nursing program
  • Basic Life Support (BLS) from the American Heart Association required
  • 3 years related experience in a clinic/physician office is required
Job Responsibility
Job Responsibility
  • Has the authority to interview, hire, orient, terminate, promote, train and conduct performance evaluations
  • Assigns day-to-day work activities
  • directs the functional and technical job performance of team members
  • Allocate and direct staffing needs to meet patient, unit, and department needs, and collaborate with others to ensure overall staffing needs are met
  • Manage performance including: setting goals, clarifying job expectations, monitoring performance progress, providing feedback, recognize developing skills and addressing performance issues related to work and our commitments using corrective action
  • Works with individual clinic management and medical staff, to evaluate, monitor and enforce clinic specific protocols, procedures and objectives
  • maintains compliance with federal/state regulations and standards
  • Ensures charging/reimbursement changes are integrated into every level of clinic operations by coordinating with the clinic team
  • Serves as the point of contact for patient and external customer complaints
  • Investigates and reconciles complaints relating to practice operations
What we offer
What we offer
  • medical
  • prescription drug
  • dental
  • vision plans
  • life insurance
  • paid time off
  • tuition reimbursement
  • retirement plan
  • 401(k)
  • 403(b)
  • Fulltime
Read More
Arrow Right

RN Supervisor AH Carolinas Medical Center Operating Room - Nights

RN Supervisor position for the Operating Room at Carolinas Medical Center, worki...
Location
Location
United States , Charlotte
Salary
Salary:
44.15 - 66.25 USD / Hour
aurorahealthcare.org Logo
Advocate Aurora Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Graduate from an accredited School of Nursing
  • Current RN licensure in appropriate state
  • Minimum two years nursing experience preferred
  • Previous management experience preferred
  • BSN required
  • BLS required per policy guidelines
  • Appropriate professional certification (either clinical or leadership) is required within 1 year of eligibility for professional certification exam
  • Must speak and understand English fluently
  • Intact sense of sight, hearing, smell, and touch
  • Finger dexterity
Job Responsibility
Job Responsibility
  • Supports the manager utilizing systematic approaches to enhance the quality and effectiveness of nursing practice, nursing service administration and delivery of care in the department
  • Assists with interview, selection, and supervision of nursing personnel in the department
  • Assists with coordination of communication at regular intervals throughout shifts via staff meetings/huddles to exchange information/ promote dialogue with teammates
  • Collaborates with manager to ensure understanding and compliance with federal and state laws, to include healthcare services and practice, while complying with all required regulations and policies
  • Rounds on patients, teammates, and physicians at prescribed frequencies to gain insight into patient care, employee, and physician satisfaction and appropriateness of patient care and/or department operations
  • Delegates elements of care to appropriate healthcare workers in accordance with applicable legal or policy parameters or principles
  • Assists in identifying expected outcomes to provide direction for continuity of care/department operations
  • Assists in evaluating progress towards goal attainment/achievement of expected outcomes and disseminates information to teammates involved with the care or the situation
  • Performs nursing care, assists with treatments, therapies, procedures, and administers medications as necessary
  • Coordinates management of patient flow/throughput and staffing through continuous assessment of volume/acuity needs, utilizing resources available to assist in provision of appropriate staffing resources
What we offer
What we offer
  • Sign-on Bonus eligible
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
  • Opportunity for annual increases based on performance
  • Premium pay such as shift, on call, and more based on a teammate's job
  • Incentive pay for select positions
  • Fulltime
Read More
Arrow Right

RN Supervisor

RN Supervisor for the Emergency Department at Atrium Health University City, wor...
Location
Location
United States , Charlotte
Salary
Salary:
44.15 - 66.25 USD / Hour
aurorahealthcare.org Logo
Advocate Aurora Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Valid, active unencumbered Nursing license approved by the Georgia Licensing Board for GA locations and Alabama Licensing Board for AL locations
  • BLS certification
  • Graduate of an accredited school of Professional Nursing
  • Progressive leadership
  • Administrative and clinical competencies
  • Full range of body motion including handling and lifting patients, manual and finger dexterity and eye-hand coordination
  • Standing and walking for extensive periods of time
  • Occasionally lifts and carries weight up to 50 pounds
  • Ability to distinguish letters, numbers and symbols with vision and hearing within normal range to respond to Code alerts and equipment alarms
  • Work-related stress due to volume and time constraints with irregular working hours
Job Responsibility
Job Responsibility
  • Handles daily staff and physician professional and clinical issues
  • Implements standards that ensure safe effective patient care
  • Reports and documents accurately through ICIS (electronic medical record) or by hard copy when necessary
  • Observes equipment and supply utilization and techniques used in preparation, cleaning and storing equipment and takes actions to improve methods
  • Provides input to the director relative to unit staffing variances
  • Evaluates staff performance and makes recommendations
  • Assists the Director with Performance Evaluations
  • Interviews prospective employees along with Director
  • Conducts staff disciplinary action according to policy and procedure
  • Supervises patient care staff including orienting, training, counseling and evaluating
What we offer
What we offer
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
  • Fulltime
Read More
Arrow Right

Clinical Nursing Supervisor (RN) - Oncology

Clinical Nursing Supervisor (RN) for Oncology department. Provides clinical supp...
Location
Location
United States , Hazel Crest; Chicago
Salary
Salary:
41.10 - 61.65 USD / Hour
advocatehealth.com Logo
Advocate Health Care
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Nurse, Registered (RN) licensure
  • Demonstrates independent problem solving and critical decision making
  • Knows when to obtain additional resources
  • Holds clinical staff accountable to AMG rooming standards
  • Ensures timely management of EMR tasks, overdue orders, test result follow-up and other patient follow-up
  • Demonstrates appropriate action and takes a lead role in emergency situations
  • Identifies, evaluates, and resolves potential safety problems
  • Ensures monthly office inspection checklist and other required audits are conducted in a timely manner
  • Ensures AMG standing operating procedures are followed
  • Oversees approved site research activities
Job Responsibility
Job Responsibility
  • Provides support in the delivery of quality clinical care
  • Works closely with healthcare team and physician to assure triage, telephone assessments, home therapies and patient visits are consistent with established guidelines
  • Takes a lead role in assisting the clinical team to meet/exceed CI goals
  • Assists physicians and associates in managing patient registries
  • Collaborates with the manager/director and physician leadership to maintain an environment that is patient centered
  • Collaborates with the practice manager on Human Resource functions related to associates
  • Supports initiatives that enhance practice growth as well as retention of existing patients
  • Assists in the creation and maintenance of an operationally efficient and physician/provider friendly work environment
  • Fulfills additional job-related duties based on operational needs
What we offer
What we offer
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
  • Opportunity for annual increases based on performance
  • Premium pay such as shift, on call, and more
  • Incentive pay for select positions
  • Fulltime
Read More
Arrow Right

RN Supervisor

As a skilled and compassionate RN, you will play a pivotal role in providing and...
Location
Location
United States , Charlotte
Salary
Salary:
44.15 - 66.25 USD / Hour
aurorahealthcare.org Logo
Advocate Aurora Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 1 year of inpatient nursing experience preferred
  • Completion of an accredited or approved program in nursing
  • Registered Nurse license issued by the state in which the teammate practices
  • Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association
  • Graduate from an accredited School of Nursing
  • Current RN licensure in appropriate state
  • Minimum two years nursing experience preferred
  • Previous management experience preferred
  • BSN required
  • Appropriate professional certification (either clinical or leadership) is required within 1 year of eligibility for professional certification exam
Job Responsibility
Job Responsibility
  • Responsible for the direct provision of patient care
  • Assisting the manager with daily operations to include but not limited to coordination of patient care/outcomes, allocation of human and fiscal resources, communications, patient throughput, program development and oversight, patient, physician and employee rounding, selection, development, and retention of staff, clinical supervision and performance appraisal, performance improvement activities, service recovery and compliance with regulatory agency requirements
  • Maintains clinical and professional competency as appropriate to the population of patients served
  • Supports the manager utilizing systematic approaches to enhance the quality and effectiveness of nursing practice, nursing service administration and delivery of care in the department
  • Assists with interview, selection, and supervision of nursing personnel in the department
  • Assists with coordination of communication at regular intervals throughout shifts via staff meetings/huddles to exchange information/ promote dialogue with teammates
  • Collaborates with manager to ensure understanding and compliance with federal and state laws, to include healthcare services and practice, while complying with all required regulations and policies
  • Rounds on patients, teammates, and physicians at prescribed frequencies to gain insight into patient care, employee, and physician satisfaction and appropriateness of patient care and/or department operations
  • Delegates elements of care to appropriate healthcare workers in accordance with applicable legal or policy parameters or principles
  • Assists in identifying expected outcomes to provide direction for continuity of care/department operations
What we offer
What we offer
  • Sign-on Bonus eligible
  • Relocation bonus if current residency is outside of the designated distance to facility
  • Robust benefits packages
  • Paid time off
  • Premium pay such as shift, on call, and more
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Fulltime
Read More
Arrow Right

Clinical Supervisor (RN) Atrium Health Cabarrus Dialysis

Clinical Supervisor (RN) position at Atrium Health Cabarrus Dialysis. Full time,...
Location
Location
United States , Concord
Salary
Salary:
44.15 - 66.25 USD / Hour
aurorahealthcare.org Logo
Advocate Aurora Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Graduate from an accredited School of Nursing
  • Current RN licensure in appropriate state
  • Minimum two years nursing experience preferred
  • Previous management experience preferred
  • BSN required
  • RN candidates for external hire or internal promotion without BSN must be enrolled in a BSN program within 1 year of Hire/Transfer date and must complete program within 3 years of enrollment in the program
  • BLS required per policy guidelines
  • Appropriate professional certification (either clinical or leadership) is required within 1 year of eligibility for professional certification exam
  • Additional education, training, certifications, or experience may be required within the department by the nurse leader
  • Must speak and understand English fluently
Job Responsibility
Job Responsibility
  • Supports the manager utilizing systematic approaches to enhance the quality and effectiveness of nursing practice, nursing service administration and delivery of care in the department
  • Assists with interview, selection, and supervision of nursing personnel in the department
  • Assists with coordination of communication at regular intervals throughout shifts via staff meetings/huddles to exchange information/ promote dialogue with teammates
  • Collaborates with manager to ensure understanding and compliance with federal and state laws, to include healthcare services and practice, while complying with all required regulations and policies
  • Rounds on patients, teammates, and physicians at prescribed frequencies to gain insight into patient care, employee, and physician satisfaction and appropriateness of patient care and/or department operations
  • Delegates elements of care to appropriate healthcare workers in accordance with applicable legal or policy parameters or principles
  • Assists in identifying expected outcomes to provide direction for continuity of care/department operations
  • Assists in evaluating progress towards goal attainment/achievement of expected outcomes and disseminates information to teammates involved with the care or the situation
  • Performs nursing care, assists with treatments, therapies, procedures, and administers medications as necessary
  • Coordinates management of patient flow/throughput and staffing through continuous assessment of volume/acuity needs, utilizing resources available to assist in provision of appropriate staffing resources
What we offer
What we offer
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
  • Sign-on eligible
  • Premium pay such as shift, on call, and more based on a teammate's job
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance
  • Fulltime
Read More
Arrow Right

Clinical Nursing Supervisor (RN) - Oncology

Clinical Nursing Supervisor (RN) for Oncology department. Provides support in th...
Location
Location
United States , Hazel Crest; Chicago
Salary
Salary:
41.10 - 61.65 USD / Hour
advocatehealth.com Logo
Advocate Health Care
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Nurse, Registered (RN) licensure
  • Demonstrates independent problem solving and critical decision making
  • Knows when to obtain additional resources when required
  • Holds clinical staff accountable to AMG rooming standards
  • Ensures timely management of EMR tasks, overdue orders, test result follow-up and other patient follow-up
  • Demonstrates appropriate action and takes a lead role in emergency situations
  • Assures timely response to emergency calls by staff
  • Identifies, evaluates, and resolves potential safety problems
  • including equipment maintenance issues
  • Ensures monthly office inspection checklist and other required audits are conducted in a timely manner
Job Responsibility
Job Responsibility
  • Clinical Care and Health Outcomes - Provides support in the delivery of quality clinical care
  • Works closely with healthcare team and physician to assure triage, telephone assessments, home therapies and patient visits are consistent with established guidelines and followed by the healthcare team
  • Takes a lead role in assisting the clinical team to meet/exceed CI goals
  • Assists physicians and associates in managing patient registries
  • Patient Satisfaction and Operations - Collaborates with the manager/director and physician leadership to maintain an environment that is patient centered
  • Monitors data on a monthly basis, reviews with clinical staff, and physicians and jointly develops improvement plans
  • Holds self and others accountable to adherence to AMG Service Standards, Behaviors of Excellence, AIDET and MVP
  • Participates and promotes activities to evaluate and improve processes that will contribute to patient satisfaction
  • Conducts frequent assessments of patient flow
  • Takes appropriate steps to reduce wait times and to keep patients informed of delays
What we offer
What we offer
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
  • Premium pay such as shift, on call, and more based on a teammate's job
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance
  • Fulltime
Read More
Arrow Right

Clinical Nursing Supervisor (RN) - Oncology

Clinical Nursing Supervisor (RN) for Oncology department, providing clinical car...
Location
Location
United States , Hazel Crest; Chicago
Salary
Salary:
41.10 - 61.65 USD / Hour
advocatehealth.com Logo
Advocate Health Care
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Nurse, Registered (RN) licensure
  • Demonstrates independent problem solving and critical decision making
  • Knows when to obtain additional resources
  • Holds clinical staff accountable to AMG rooming standards
  • Ensures timely management of EMR tasks, overdue orders, test result follow-up and other patient follow-up
  • Demonstrates appropriate action and takes a lead role in emergency situations
  • Assures timely response to emergency calls by staff
  • Identifies, evaluates, and resolves potential safety problems
  • Ensures monthly office inspection checklist and other required audits are conducted in a timely manner
  • Ensures AMG standing operating procedures are followed
Job Responsibility
Job Responsibility
  • Provides support in the delivery of quality clinical care
  • Works closely with healthcare team and physician to assure triage, telephone assessments, home therapies and patient visits are consistent with established guidelines
  • Takes a lead role in assisting the clinical team to meet/exceed CI goals
  • Assists physicians and associates in managing patient registries
  • Collaborates with the manager/director and physician leadership to maintain an environment that is patient centered
  • Collaborates with the practice manager on Human Resource functions related to associates
  • Supports initiatives that enhance practice growth as well as retention of existing patients
  • Assists in the creation and maintenance of an operationally efficient and physician/provider friendly work environment
  • Fulfills additional job-related duties based on operational needs
What we offer
What we offer
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
  • Premium pay such as shift, on call, and more
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance
  • Fulltime
Read More
Arrow Right